1 00:00:00,500 --> 00:00:30,360 We will jump into the, well, first, confirming that we have quorum. Yes, sir Mr. Bailey, Mr. Herbert, here, Mr. Grant. Thank you. Thank you so much. Looking to the approval of minutes, September 18, 20, 25, if you got a chance, and Mr. Herbert, welcome to the ad hoc committee. This meeting almost a year ago, really put together the past with the HMA team in our wonderful direction. 2 00:00:32,080 --> 00:00:35,540 So is there a motion to approve the minutes? 3 00:00:35,980 --> 00:00:39,740 Was it October 18, 2025? Yes, sir, so moved. 4 00:00:39,860 --> 00:00:41,020 I'm going to second that. 5 00:00:44,040 --> 00:00:44,320 Hi. 6 00:00:47,300 --> 00:00:49,460 Today we're going to have some great committee discussion. 7 00:00:49,700 --> 00:00:52,920 This is all taken for information only. Is that correct? Director Hepers? 8 00:00:53,180 --> 00:00:53,780 That is correct. 9 00:00:53,900 --> 00:00:55,060 Fantastic. All right. 10 00:00:55,480 --> 00:00:57,100 Well, let's get into the item number two. 11 00:00:57,180 --> 00:01:01,460 The homeless services fiscal year 25 and 26 outcomes. 12 00:01:01,460 --> 00:01:06,660 This is coming to happen. Our director of homeless services. Absolutely. Good afternoon, everybody. 13 00:01:07,120 --> 00:01:12,680 Good afternoon. Today, I am reporting the fiscal year 25 homeless services 14 00:01:12,680 --> 00:01:14,320 response for the city of Columbia. 15 00:01:16,760 --> 00:01:24,340 And for fiscal year 25, we put 417 unique people across 16 00:01:24,340 --> 00:01:30,720 all programs. All programs are the Rapid Shelter Columbia, the Recovery Community Center, 17 00:01:30,720 --> 00:01:39,460 and street outreach. Since inception, we touched 848 people and asked from 18 00:01:39,460 --> 00:01:50,080 November 22. For this year, Rapid Shelter Columbia served 169 individuals. With 19 00:01:50,080 --> 00:01:54,900 79 of those individuals being chronically unsheltered, which means those 20 00:01:54,900 --> 00:02:01,120 individuals were homeless for at least 12 consecutive months with a diagnosis. 21 00:02:03,120 --> 00:02:09,600 138 of that 169 entered the shelter from literally being homeless, sleeping on 22 00:02:09,600 --> 00:02:16,100 the streets, in a place that's uninhabitable for humans, and for fiscal year 23 00:02:16,100 --> 00:02:23,400 25 we permanently housed 29 individuals, which increased our aftercare case 24 00:02:23,400 --> 00:02:31,460 slow by 29. Yes. Yes. Yes. Yes. Explain to what was the difference? Okay. Yes. Sorry. 25 00:02:31,520 --> 00:02:37,160 If you don't mind. Yes. So the homeless service response that has 417th 26 00:02:37,160 --> 00:02:43,300 on top, that's the fiscal year. Okay. And the one that has the 848th on top, that's 27 00:02:43,300 --> 00:02:49,320 since inception. Got you. So all the numbers are. Yeah. All the numbers on that 28 00:02:49,320 --> 00:02:51,300 That's the end of the year today. 29 00:02:51,840 --> 00:02:52,120 Thanks. 30 00:02:52,480 --> 00:02:52,860 You're welcome. 31 00:02:56,140 --> 00:02:58,180 It ended at $29, from the housing placements. 32 00:02:58,420 --> 00:02:58,540 Yes. 33 00:02:59,020 --> 00:03:01,780 And I was saying that increased our aftercare case managers 34 00:03:01,780 --> 00:03:06,500 low by 29 individuals, because every person that we house, 35 00:03:06,500 --> 00:03:08,380 we continue to case manage them. 36 00:03:08,880 --> 00:03:10,620 And so that looks different for everybody. 37 00:03:10,840 --> 00:03:13,240 Somebody may need once a week. 38 00:03:13,420 --> 00:03:15,100 Somebody may need once a month. 39 00:03:15,100 --> 00:03:16,680 And somebody may need every day. 40 00:03:17,180 --> 00:03:19,340 And I just would like to point that out, 41 00:03:19,340 --> 00:03:23,640 because it just shows the intensive case management work that goes into each 42 00:03:23,640 --> 00:03:31,320 person that we touch. Out of the 169 of the out of the 169 people that we 43 00:03:31,320 --> 00:03:37,580 served at Rapid Shell to Columbia, 130 individuals made a positive exit. And that 44 00:03:37,580 --> 00:03:41,560 doesn't always mean permanent housing. That means that we either reunited them 45 00:03:41,560 --> 00:03:46,080 with family or we sent them to a facility which was more appropriate for them. 46 00:03:46,080 --> 00:03:50,860 But then the communication monitoring still continues? 47 00:03:51,440 --> 00:03:58,140 Not if we read after the one after they're placed back with family or if they move along to the next housing level. 48 00:03:58,640 --> 00:04:01,720 For housing, yes, for family, we don't do that. 49 00:04:02,440 --> 00:04:05,580 But if they need us, they can call us but we don't plan that. 50 00:04:07,000 --> 00:04:09,000 So that was the rapid shelter Columbia. 51 00:04:09,180 --> 00:04:10,600 Anybody have any questions? 52 00:04:12,020 --> 00:04:12,980 No, ma'am. 53 00:04:12,980 --> 00:04:26,280 So I'm going to move on to the Recovery Community Center which started in October of 25 and since opening we touched no for fiscal year 25. 54 00:04:27,120 --> 00:04:36,140 We touched 182 individuals 56 individuals of that 182 they are actively engaged in recovery services. 55 00:04:36,140 --> 00:04:43,720 So that means we either sent them to a facility or they're participating in the program at the recovery community center. 56 00:04:45,930 --> 00:04:53,630 And of those 182 individuals, we have executed 160 services. 57 00:04:54,290 --> 00:04:56,630 That's recovery and supportive services. 58 00:04:57,050 --> 00:05:06,510 So maybe they came down there just looking for housing resources or they needed clothes, 59 00:05:06,510 --> 00:05:08,830 Those are the type of services. 60 00:05:09,630 --> 00:05:13,610 And there's not a overnight facility that is not an office. 61 00:05:13,790 --> 00:05:16,790 That's not receiving services during the day which means people are coming back consistently. 62 00:05:17,330 --> 00:05:17,510 Yes. 63 00:05:17,890 --> 00:05:23,650 So, those 56 individuals are coming back consistently. 64 00:05:24,190 --> 00:05:25,610 Participating in the program. 65 00:05:26,150 --> 00:05:35,770 In the program we offer them support meetings on site or they can participate in support meetings. 66 00:05:35,770 --> 00:05:41,410 within the community we have a form that they have and as they participate they 67 00:05:41,410 --> 00:05:42,330 get assigned off. 68 00:05:44,520 --> 00:05:49,940 And of those 182 individuals we touch, nine of those 69 00:05:49,940 --> 00:05:56,940 successfully transitioned into detox or a residential substance facility. 70 00:05:59,130 --> 00:05:59,530 We have 71 00:05:59,530 --> 00:06:05,530 any questions for the recovery community center. So you said I'm sorry I'm sorry I'm 72 00:06:05,530 --> 00:06:06,810 I'm sorry, Mr. Chair. 73 00:06:06,970 --> 00:06:09,810 I was just going to have Camicia save very quickly 74 00:06:09,810 --> 00:06:12,750 that since 2022 in the city of Columbia, 75 00:06:13,410 --> 00:06:15,330 embarked upon homeless services 76 00:06:15,330 --> 00:06:20,750 as a stand-alone department in our city 77 00:06:20,750 --> 00:06:22,030 and you were hired. 78 00:06:22,590 --> 00:06:24,030 I just wanted to make sure it was clear 79 00:06:24,030 --> 00:06:26,050 that you're explaining rapid shelter, 80 00:06:26,190 --> 00:06:29,210 which was really our first program that we started. 81 00:06:29,390 --> 00:06:31,990 But since then, now you've got the recovery community center. 82 00:06:32,170 --> 00:06:33,430 So to Mr. Brennan's point, 83 00:06:33,430 --> 00:06:39,450 just making that distinction for the listening public and those in attendance and then I know you're 84 00:06:39,450 --> 00:06:44,890 going to also talk about street outreach but you've grown right so it's your service delivery. 85 00:06:45,310 --> 00:06:50,570 So we have grown when we first started what we had was Rapid Shelter Columbia the 50 pilots 86 00:06:50,570 --> 00:06:57,230 40 for men 10 for women. Since then we have grown to the aftercare program because in our first year 87 00:06:57,230 --> 00:07:01,970 We learned that that aftercare piece is essential to keeping individuals 88 00:07:01,970 --> 00:07:02,710 housed. 89 00:07:03,290 --> 00:07:07,310 What we have learned throughout the years is that we can house a person and they 90 00:07:07,310 --> 00:07:11,590 walk away from the housing because they have created community where they are. 91 00:07:11,950 --> 00:07:16,170 So then they're feeling isolated and lonely and they go back to that. 92 00:07:16,570 --> 00:07:17,830 So aftercare is essential. 93 00:07:18,010 --> 00:07:21,870 So we have a case manager just for aftercare who does those things. 94 00:07:22,890 --> 00:07:28,490 We have also grown with the outreach I'll get into that in a second but we've also grown 95 00:07:28,490 --> 00:07:35,830 and outreach because we initially contracted that work with transitions but we have a different 96 00:07:35,830 --> 00:07:43,210 need level so we brought one position in-house and I'll segue into street outreach now. 97 00:07:43,730 --> 00:07:45,510 Let me ask you real quick Mrs. Patrick. 98 00:07:45,510 --> 00:07:49,870 It says barriers to treatment and transportation. 99 00:07:50,810 --> 00:07:55,810 Do we have a good work in creative relationship with the comment as far as daily passes for 100 00:07:55,810 --> 00:08:02,530 folks of say, for example, these 56 folks that are coming back every day with daily free 101 00:08:02,530 --> 00:08:06,110 ridership passes, help to continue to grow that number. 102 00:08:06,510 --> 00:08:09,070 So comment is a great partner of homeless services. 103 00:08:09,070 --> 00:08:13,730 is we currently have a stock pile of one-day passes, 104 00:08:13,990 --> 00:08:16,050 seven-day passes, and 31-day passes. 105 00:08:16,630 --> 00:08:19,790 It comes attached to criteria and expectations, 106 00:08:19,930 --> 00:08:21,030 but we do have that. 107 00:08:21,450 --> 00:08:25,490 So the one-day bus passes outreach has that in the program. 108 00:08:26,190 --> 00:08:28,210 But seven-day bus passes is for individuals 109 00:08:28,210 --> 00:08:30,490 who just got their employment. 110 00:08:30,910 --> 00:08:34,410 So then they need assistance until they get that first check. 111 00:08:34,830 --> 00:08:36,970 And the 31-day bus passes is the same 112 00:08:36,970 --> 00:08:39,190 for employment and permanent housing. 113 00:08:39,530 --> 00:08:40,850 Great, perfect, thank you. 114 00:08:41,790 --> 00:08:45,230 But for the, there is transportation is a barrier 115 00:08:45,230 --> 00:08:48,630 for all services across homeless services. 116 00:08:49,230 --> 00:08:50,970 You know, we have the Greyhound program 117 00:08:50,970 --> 00:08:53,870 where we could reunite individuals with their family, 118 00:08:53,890 --> 00:08:57,610 but Greyhound has relocated out of Columbia. 119 00:08:58,150 --> 00:09:02,070 So now we have created a lift program. 120 00:09:02,070 --> 00:09:08,630 and so that's funded through our second-sum rise program which is similar to 121 00:09:08,630 --> 00:09:15,210 Rapid Rehousing and so with that program we're able to provide a lift for 122 00:09:15,210 --> 00:09:20,370 somebody to make it down to Camden for the Greyhound or provide a lift to the 123 00:09:20,370 --> 00:09:26,170 facility if it's close enough. So we are trying innovative ways thinking 124 00:09:26,170 --> 00:09:30,310 outside the box and how we could meet the knees when it comes to barriers. 125 00:09:30,310 --> 00:09:35,010 That's great this the next one. I think it's so important to street outreach and how we can grow that yes 126 00:09:35,010 --> 00:09:37,190 I'm excited about street outreach 127 00:09:38,050 --> 00:09:41,380 Especially we brought on mr. Terrence and 128 00:09:42,690 --> 00:09:49,190 We started this position with him in November of 25 and since he started 129 00:09:49,190 --> 00:09:58,950 And this is does not have anything to do with our contract outreach. This is just the one person so he has touched 66 individuals 130 00:10:00,310 --> 00:10:12,430 He has served 60 households, which means that he is serving individuals who he's doing preventative work. 131 00:10:13,890 --> 00:10:29,930 51 individuals contacted 37 individuals successfully engaged, which means he was able to meet the need with the resource they was looking for, doing intake for them, get that person inside the system 132 00:10:29,930 --> 00:10:32,410 so that they're placed on a housing list, 133 00:10:32,590 --> 00:10:33,910 the prioritization list. 134 00:10:35,290 --> 00:10:37,770 He has a 73% engagement rate, 135 00:10:38,310 --> 00:10:40,850 34% of the 66th individual 136 00:10:40,850 --> 00:10:43,670 that he's been working with is chronically unsheltered, 137 00:10:44,170 --> 00:10:45,750 and I would like to highlight terrorists 138 00:10:45,750 --> 00:10:51,250 because United Way actually acknowledged him on last week 139 00:10:51,610 --> 00:10:54,950 for having the most intakes done in the system 140 00:10:55,350 --> 00:10:58,310 and having his vulnerable assessments done. 141 00:10:58,310 --> 00:11:03,810 And what that means is, once the vulnerable assessments are done, he is placed on those 142 00:11:03,810 --> 00:11:09,410 individuals are placed on the prioritization list, which means they can be housed. 143 00:11:10,070 --> 00:11:13,690 And so he had six individuals at the top of the list. 144 00:11:14,010 --> 00:11:19,470 And I just want to highlight that we have six people that are eligible to be housed, ready 145 00:11:19,470 --> 00:11:21,990 to be housed, but we don't have housing for them. 146 00:11:23,050 --> 00:11:25,990 And so he works with those individuals every day. 147 00:11:26,690 --> 00:11:29,890 Most of the individuals that Terence worked with, 148 00:11:29,910 --> 00:11:31,050 they can't do for themselves. 149 00:11:32,670 --> 00:11:35,570 They use adult diapers and all the things. 150 00:11:35,890 --> 00:11:37,270 And he comes in every morning. 151 00:11:37,810 --> 00:11:39,630 He walks them down either to transitions 152 00:11:39,630 --> 00:11:42,870 or can't think of the place right now, sorry. 153 00:11:43,290 --> 00:11:44,690 But he takes them down there. 154 00:11:44,750 --> 00:11:45,590 He gives them a shower. 155 00:11:45,650 --> 00:11:46,990 He has clean clothes for them. 156 00:11:47,190 --> 00:11:48,450 And then he feeds them. 157 00:11:48,450 --> 00:11:55,550 And these individuals are banned from most facilities because they cannot take care of themselves. 158 00:11:56,330 --> 00:11:58,470 So, he's doing all the things and I just want to give him a shout out. 159 00:12:01,650 --> 00:12:04,530 These folks that can't help themselves are sleeping on the street every night. 160 00:12:04,730 --> 00:12:08,190 And Mr. Sharon's comes and helps them every morning. 161 00:12:08,390 --> 00:12:08,990 Every morning. 162 00:12:09,670 --> 00:12:11,610 How many souls are we talking about here? 163 00:12:12,230 --> 00:12:16,590 So, all the top of my head is six men down here that he does this with daily. 164 00:12:16,590 --> 00:12:18,450 Thank you. 165 00:12:18,670 --> 00:12:19,130 You're welcome. 166 00:12:20,470 --> 00:12:26,490 Any questions in reference to fiscal year 25 homeless response system. 167 00:12:26,650 --> 00:12:35,810 If you could just touch base on this, this is kind of telling of what we're facing here as we try and help folks in the Midlands who we serve. 168 00:12:36,190 --> 00:12:38,130 Look at the gender race age. 169 00:12:38,350 --> 00:12:38,670 Absolutely. 170 00:12:38,830 --> 00:12:40,890 And the common disabling conditions. 171 00:12:40,890 --> 00:12:48,990 Absolutely. 72% of the individuals that we serve are males, 26 females, 1% is transgender. 172 00:12:49,910 --> 00:12:56,050 72% is African-American, 27 is Caucasian, 1 is other. 173 00:12:56,930 --> 00:13:03,710 From the age categories, 2% of the individuals we serve are from 18 to 24. 174 00:13:05,430 --> 00:13:13,830 We serve 9% of 62 and over, 55 to 61 is 31%, which is our largest population. 175 00:13:14,650 --> 00:13:16,030 I fit in that population. 176 00:13:17,090 --> 00:13:20,450 And then 45 to 54, 26%. 177 00:13:21,750 --> 00:13:29,650 So this is a real vulnerable population outside of them being homeless because then we have 178 00:13:29,650 --> 00:13:33,090 the chronically unsheltered, which we know the definition of that. 179 00:13:33,090 --> 00:13:36,550 But now we have our senior population increase in 180 00:13:38,950 --> 00:13:40,910 the disabling conditions 181 00:13:41,610 --> 00:13:46,870 What so like what is a total I mean it's this obviously breaks down the well over a hundred percent so 182 00:13:47,810 --> 00:13:52,450 We're working with folks that have yes, so out of a hundred percent what percentage 183 00:13:53,210 --> 00:13:57,130 Don't have any of these conditions that are homeless. Does that make sense? 184 00:13:58,150 --> 00:14:05,470 That does make sense and I want to say zero. Does that make sense? Yeah, it does 185 00:14:05,470 --> 00:14:12,330 Because even if you don't have a mental diagnosis or a substance issue when you first become 186 00:14:12,330 --> 00:14:17,710 homeless, these things are coping mechanism. 187 00:14:18,190 --> 00:14:22,570 So if I'm struggling and I'm homeless on the street and I'm sleeping under the bridge 188 00:14:22,570 --> 00:14:30,230 and I'm a woman, then I make smoke some crack to be able to sleep under there. 189 00:14:30,390 --> 00:14:34,670 And then because that's why I'm doing it the cold, but now it becomes the habit. 190 00:14:34,670 --> 00:14:43,970 And so now I'm going to do any drug because crack too high and you know, I'm not that you know, but 191 00:14:45,950 --> 00:14:53,310 I'm familiar. Well, that's I mean, that's we're just to wrap your head around that a lot. I did have one question, Mr 192 00:14:53,310 --> 00:14:57,470 Yes, and going back to the Greyhound program 193 00:14:58,330 --> 00:14:59,830 Have we seen any 194 00:15:00,000 --> 00:15:07,680 Angers in the number of folks who are being blessed to us, since we don't have the Greyhound 195 00:15:07,680 --> 00:15:15,060 bus, because I know people we used to talk about getting lots of visitors, permanent visitors 196 00:15:15,060 --> 00:15:21,440 who get a one-way pass into Columbia. Are we still seeing them? Yes, we are still seeing 197 00:15:21,440 --> 00:15:27,320 that. And yes, the answer to that is yes. And I can't give you a number of how many people 198 00:15:27,320 --> 00:15:29,740 who were dropped off through Greyhound, 199 00:15:30,060 --> 00:15:31,960 but we do get people dropped off 200 00:15:31,960 --> 00:15:34,080 from different agencies from the jail 201 00:15:34,080 --> 00:15:35,580 that get dropped off downtown, 202 00:15:36,140 --> 00:15:37,180 and we're serving them. 203 00:15:37,840 --> 00:15:40,080 I don't have that number within right now, 204 00:15:40,080 --> 00:15:43,640 but I have asked my staff to start compiling it 205 00:15:43,640 --> 00:15:45,800 because we asked that question at the recovery center. 206 00:15:46,440 --> 00:15:49,680 And they're mostly local as in within the state 207 00:15:49,680 --> 00:15:51,760 or within state, yes. 208 00:16:00,470 --> 00:16:00,930 Okay, thank you. 209 00:16:06,200 --> 00:16:09,380 So that was a snapshot of the great work y'all are doing. 210 00:16:09,380 --> 00:16:13,640 and did you want to talk about what the next year holds? 211 00:16:14,040 --> 00:16:15,840 I do want to talk about what next year holds, 212 00:16:15,960 --> 00:16:18,680 but I skipped over something that I think is important. 213 00:16:19,380 --> 00:16:23,000 So we do the milkshake coordination with Christ Central 214 00:16:23,000 --> 00:16:24,500 and we've been doing that since 22. 215 00:16:25,380 --> 00:16:27,240 And in the beginning, it had a slow start, 216 00:16:27,240 --> 00:16:29,240 but it appears to be picking up. 217 00:16:29,800 --> 00:16:33,560 We had a group that was cooking on the corner. 218 00:16:33,740 --> 00:16:36,760 They now come in the Christ Central and they participate 219 00:16:36,760 --> 00:16:38,820 to pay in that and things have been going well. 220 00:16:39,720 --> 00:16:43,640 We most recently sat down with the downtown churches 221 00:16:43,640 --> 00:16:47,020 and had a discussion about what that would look like to partner. 222 00:16:47,780 --> 00:16:52,860 So everybody's to the table now, and they're willing to look at different ways to do things. 223 00:16:53,080 --> 00:16:55,260 So I am excited about that. 224 00:16:55,920 --> 00:16:59,800 And in addition to the recovery community center, 225 00:16:59,960 --> 00:17:03,420 we were trying to partner with the fire department 226 00:17:03,420 --> 00:17:07,040 to have like an urgent care down there. 227 00:17:07,600 --> 00:17:09,700 We didn't get that rolled out fully, 228 00:17:09,820 --> 00:17:11,600 but we do have a partnership with Prisma 229 00:17:11,600 --> 00:17:13,320 where they bring the mobile unit down 230 00:17:13,700 --> 00:17:18,380 and they're able to serve our residents down there. 231 00:17:19,400 --> 00:17:21,100 And you want me to call for that? 232 00:17:21,520 --> 00:17:21,740 Sure. 233 00:17:22,080 --> 00:17:24,460 I'm gonna step up to the mic, and maybe. 234 00:17:25,200 --> 00:17:28,340 And Tom, and that, well, Chief Holloway, 235 00:17:28,440 --> 00:17:31,000 I know you'll talk about the fire stands ready 236 00:17:31,000 --> 00:17:38,800 to implement this program, but the barrier as to what needs to happen in order to allow 237 00:17:38,800 --> 00:17:39,660 you all to do that. 238 00:17:39,940 --> 00:17:43,780 So we're fully invested in this mission for our homeless population. 239 00:17:44,480 --> 00:17:50,860 To most effectively serve the mission, we continue to recommend that the city of Columbia 240 00:17:50,860 --> 00:17:59,360 and Richland County work towards a DPH affiliation, Department of Public Health affiliation, which 241 00:17:59,360 --> 00:18:01,280 which would allow the EMTs in the fire department 242 00:18:01,980 --> 00:18:05,780 to work under the Richland County DPH license. 243 00:18:07,100 --> 00:18:10,000 This will not only just serve our homeless population, 244 00:18:10,220 --> 00:18:12,820 but it has several positive effects 245 00:18:13,640 --> 00:18:15,820 on our communities in general in both Richland 246 00:18:15,820 --> 00:18:17,360 and the city of Columbia. 247 00:18:18,740 --> 00:18:20,860 Most notably is advanced airway, 248 00:18:21,020 --> 00:18:26,340 so it would allow our crews who normally get on scene, 249 00:18:26,340 --> 00:18:33,140 significantly before the ambulance to secure advanced airways, which means 250 00:18:33,140 --> 00:18:38,060 start breathing for patients who are not able to breathe on their own. In this 251 00:18:38,060 --> 00:18:45,680 application, there are cities like Chicago, Atlanta, LA County that are 252 00:18:45,680 --> 00:18:52,240 currently using task force, where a social worker, a firefighter EMT, sometimes law 253 00:18:52,240 --> 00:18:59,860 enforcement will go out into a response vehicle and to extend the outreach that was just 254 00:18:59,860 --> 00:19:03,600 discussed, the Forest Service can be a big part of the medical aspect of that. 255 00:19:04,600 --> 00:19:09,780 But it really, right now, how the system operates, it would really require that the county 256 00:19:09,780 --> 00:19:11,200 and the city enter in a contract. 257 00:19:11,780 --> 00:19:16,860 The good news is our response partners in a neighboring county have already undertaken 258 00:19:16,860 --> 00:19:20,640 this task and are actually on their second revision of their contract. 259 00:19:20,640 --> 00:19:24,920 So, we have five years of data of how it's positively affected in the neighboring county. 260 00:19:25,660 --> 00:19:28,180 So, we know the outcome prior to the investment. 261 00:19:30,100 --> 00:19:36,240 So, there's a county next to us that is working with the county of the municipalities 262 00:19:36,240 --> 00:19:39,460 for a urgent response. 263 00:19:40,160 --> 00:19:46,420 Correct. So, in a neighboring county, the fire service in the EMS agency has a memorandum of understanding 264 00:19:46,420 --> 00:19:52,660 where the fire departments EMTs are working under the licensure of the EMS agency for the county. 265 00:19:53,240 --> 00:20:01,680 So what needs to progress for the city and the county that we're in to look at that data, 266 00:20:01,940 --> 00:20:04,940 understand and believe in that data so that we can move forward? 267 00:20:05,920 --> 00:20:09,880 My best recommendation at this point would be a work group at the council level. 268 00:20:10,120 --> 00:20:13,560 We've made the proposal in the past, but we haven't had much traction. 269 00:20:13,560 --> 00:20:14,500 Would 270 00:20:19,460 --> 00:20:27,620 that be something to do in the fire services committee or just an ad hoc council to council committee? 271 00:20:29,420 --> 00:20:36,480 I'm sure we could bring it up there. I mean that's we can try that because I know you're very involved with that. 272 00:20:36,700 --> 00:20:43,260 And then you're chairing this committee. Mr. Browin, what kind of data would we bring forward to show our colleagues? 273 00:20:43,260 --> 00:20:50,600 I think we, I think we have it and as well as the working group with Prisma because it really 274 00:20:50,600 --> 00:20:57,460 benefits everyone, you know, the less the, if this could be stood up and work, obviously 275 00:20:57,460 --> 00:21:03,820 that's the less visits and calls for service to the ER at Prisma. 276 00:21:04,340 --> 00:21:10,140 I know she, a whole group may want to speak to it from his perspective, but it's just really 277 00:21:10,140 --> 00:21:20,100 a win-win for all of us. So we've tried to initiate that conversation early on and it just 278 00:21:20,100 --> 00:21:21,160 needs to be revisited. 279 00:21:21,740 --> 00:21:24,280 Let's be sure we will work with you to follow up on that. 280 00:21:24,660 --> 00:21:25,980 Sure, I think that would make a lot of difference. 281 00:21:30,600 --> 00:21:38,870 Well, I want to swing in at, since Chief Halloween gave his overview as a substitution until we 282 00:21:38,870 --> 00:21:46,090 get that resolved, Prisma came on board, and they are providing the services, but she 283 00:21:46,090 --> 00:21:58,350 powerfully funded that. But they have a 79% rate likely EVA avoidable since they started 284 00:21:58,350 --> 00:22:04,670 on site. That would be on the second page of the Prisma page. I had it with it. 285 00:22:20,090 --> 00:22:21,610 So what 286 00:22:23,880 --> 00:22:30,500 is this what is this highlighting this is highlighting since they started working with us the visits 287 00:22:31,640 --> 00:22:40,140 They had 22 site days. They caught they may contact with 112 individuals with 33 clinical visits 288 00:22:40,140 --> 00:22:45,360 it's 42 BP screens and 18 access health referrals. 289 00:22:45,740 --> 00:22:48,520 The access health referrals is connecting them 290 00:22:48,520 --> 00:22:51,640 to primary care, but on that second page 291 00:22:51,640 --> 00:22:56,660 it shows you that 79% of those individuals 292 00:22:56,660 --> 00:23:00,440 was likely a deterrent to the evening. 293 00:23:02,730 --> 00:23:07,990 So if we had the relationship with the city and the county, 294 00:23:08,230 --> 00:23:10,390 I feel like those numbers would be stronger 295 00:23:10,390 --> 00:23:16,270 and we would be able to demonstrate how much we are saving the hospitals and the community 296 00:23:16,270 --> 00:23:25,130 if we had that program up. Repeat that one more time. Which part? 79% of the total. 297 00:23:25,330 --> 00:23:34,250 The 79% of the total was likely a ED deterrent, so they would not have went to the ED. 79% of the 298 00:23:34,250 --> 00:23:42,450 of 112 total contacts, just significant in the grand scheme of things. 299 00:23:43,150 --> 00:23:49,170 Seems like that number fully, fully, if the team was full, you could have a lot more contacts. 300 00:23:55,270 --> 00:24:01,710 And my last item to discuss is the documentary reviewing that we will have on Thursday, 301 00:24:02,190 --> 00:24:05,010 next week, September 17th at 5.30. 302 00:24:05,790 --> 00:24:11,610 The city of Columbia, the mayor, has brought this documentary for residents to view. 303 00:24:12,250 --> 00:24:20,050 The documentary has real live strategic techniques that other individuals are using in their 304 00:24:20,050 --> 00:24:21,790 community that have been successful. 305 00:24:22,470 --> 00:24:28,230 I think that this is a great opportunity for us to come together as a community, everyone, 306 00:24:28,230 --> 00:24:35,890 on, watch this documentary, see what can be duplicated in Columbia and we do this together. 307 00:24:38,390 --> 00:24:46,290 We will have a panel discussion afterwards and we'll have the discussion, we'll take 308 00:24:46,290 --> 00:24:49,830 questions, but we'll also have a call to action afterwards. 309 00:24:50,210 --> 00:24:53,310 We'll set up some committees of the things to do. 310 00:24:53,870 --> 00:24:57,930 Like if you are a builder, you want to be a part of it and you feel like you can contribute 311 00:24:57,930 --> 00:25:04,630 to that, we would like you on that committee. So I just think it's exciting and it's all 312 00:25:04,630 --> 00:25:10,690 aligning, in my opinion, with the data that the city has pulled together, what Richland 313 00:25:10,690 --> 00:25:15,810 County has pulled together, it all looks like it's given us a roadmap to where we need 314 00:25:15,810 --> 00:25:21,990 to go. And I would segue into Mr. Fish from HMA, 315 00:25:24,070 --> 00:25:25,510 what's up, how it points. 316 00:25:25,510 --> 00:25:31,150 And it reminds us, like, as to how we got to the point of having a consultant. 317 00:25:32,130 --> 00:25:33,730 How do we get here? 318 00:25:34,010 --> 00:25:34,990 How do we get here? 319 00:25:35,650 --> 00:25:40,190 So we contracted H&A about eight, nine months ago. 320 00:25:40,530 --> 00:25:43,390 It feels like ten years ago, no other than Patricia's, I love you. 321 00:25:45,610 --> 00:25:48,610 And they did a homelessness assessment. 322 00:25:48,850 --> 00:25:50,090 They spoke with providers. 323 00:25:50,090 --> 00:25:52,430 They talked to unsheltered neighbors. 324 00:25:52,430 --> 00:25:56,710 they did the research and they put it together for us. 325 00:25:56,830 --> 00:26:00,230 You see that in YouTube's packet, 326 00:26:00,410 --> 00:26:03,550 the first page is the roadmap. 327 00:26:04,110 --> 00:26:07,050 And I changed that up when we first started, 328 00:26:07,150 --> 00:26:08,210 remember I had the steps. 329 00:26:09,110 --> 00:26:12,930 So this changes a little bit and it gives us 330 00:26:12,930 --> 00:26:16,190 some practical realistic items and dates on them. 331 00:26:16,410 --> 00:26:20,690 And this is an independent lens into all services, 332 00:26:20,690 --> 00:26:28,010 all providers, healthcare opportunities, and ultimately some great outcomes that we can pursue. 333 00:26:28,390 --> 00:26:28,510 Yes. 334 00:26:29,550 --> 00:26:30,030 Fantastic. 335 00:26:30,230 --> 00:26:36,670 Well, then Ms. Wilson, if you want to add anything, if not, go to Trish and her team at HMA. 336 00:26:40,640 --> 00:26:40,860 Great. 337 00:26:41,100 --> 00:26:42,120 Thank you very much, folks. 338 00:26:42,620 --> 00:26:44,280 I'm going to share my screen. 339 00:26:45,960 --> 00:26:47,060 Hi, it's Apatli. 340 00:26:51,600 --> 00:26:53,980 Thank you, folks, for the time today. 341 00:26:54,920 --> 00:27:01,200 There's several slides here, so I'm going to zip through them a little bit quickly so that we can get to the meaty part of this. 342 00:27:02,880 --> 00:27:07,300 First of all, I'm going to give you the headlines right up front. 343 00:27:07,900 --> 00:27:12,080 You have a strong system of care that gets really good results. 344 00:27:12,600 --> 00:27:17,080 You just heard from Camicia the types of results that your services are delivering. 345 00:27:17,080 --> 00:27:32,780 It is constructed as I'm sure you well know by the lack of housing available to folks on the lack of exit strategies both affordable and supportive housing by the lack of behavioral health integration. 346 00:27:33,500 --> 00:27:41,740 You are not you are not alone in that it is not common for behavioral health to be integrated but it's happening more and more across the country. 347 00:27:42,620 --> 00:27:50,280 And by a need for, we believe, a stronger coordination across the system. 348 00:27:51,080 --> 00:27:53,900 There's a lot of good people out there doing a lot of good work, 349 00:27:53,980 --> 00:27:56,480 and we want to make sure that they're not doing it in silos. 350 00:28:01,040 --> 00:28:04,560 So, really briefly, and you'll be able to read these. 351 00:28:04,640 --> 00:28:06,580 I believe that you have a copy of these. 352 00:28:06,580 --> 00:28:12,860 We spoke to, as Commissioner noted, we spoke to over 150 people, we did a survey, we did 353 00:28:12,860 --> 00:28:18,120 some geographic mapping, we looked at data, we looked at reports, trying to come up with 354 00:28:18,120 --> 00:28:22,460 the information that we have with you here as outsiders looking in. 355 00:28:23,340 --> 00:28:27,820 And as outsiders looking in, I'm sure that there's a couple pieces that we may have missed 356 00:28:27,820 --> 00:28:29,340 that need further clarification. 357 00:28:30,000 --> 00:28:32,760 I want to stress that these are still draft findings. 358 00:28:32,760 --> 00:28:40,880 We have not finalized our report yet and so are open to recommendations, critiques, and 359 00:28:40,880 --> 00:28:44,860 things that we may have, don't have the full context on. 360 00:28:46,300 --> 00:28:51,760 You asked us to look at housing affordability, stability, and homelessness pressures. 361 00:28:53,540 --> 00:28:56,700 The majority of area renters are cost-pert. 362 00:28:57,500 --> 00:29:02,920 We looked at renters because they're a better indicator of who has the potential to become 363 00:29:02,920 --> 00:29:06,020 homeless in a community than people who own their housing. 364 00:29:06,780 --> 00:29:16,420 What you see from this graph rather is that there are more than half of the population, 365 00:29:16,680 --> 00:29:21,920 more than half the renters are cost burden, which means they're paying over 30% of their 366 00:29:21,920 --> 00:29:29,440 income for rent significantly there are a third of them are paying over 50% of their 367 00:29:29,440 --> 00:29:37,840 income for rent. That number 8900 is the number of folks that you that are one 368 00:29:37,840 --> 00:29:43,340 issue away from coming into your systems because 8900 households they're one 369 00:29:44,420 --> 00:29:51,020 job that's been lost a medical crisis a fire in their home so this is a number to 370 00:29:51,020 --> 00:29:57,600 pay attention to the show. The average renter wage is below every reported housing 371 00:29:57,600 --> 00:29:59,980 that means that the amount of... 372 00:30:00,000 --> 00:30:29,980 Money I need to make in order to afford a two-bedroom that those averages aren't aligned. So the average worker is not able to make the average rent for a two-bedroom based on income. And you see on the right, those are numbers who state. So it's a regional statewide issue as well as a issue local to Columbia. You see this graph before it shows 373 00:30:29,980 --> 00:30:35,500 that your homeless, the number of people experiencing homelessness in your community has been rising 374 00:30:36,640 --> 00:30:45,480 and has seen a dip in the last year. I think we can start to point at some of the services that you folks have put in place already. 375 00:30:49,470 --> 00:30:57,990 What I want to underscore here is that this is not, we cannot take broad, even though this is a, I'm giving you headlines today briefly, 376 00:30:57,990 --> 00:31:02,950 We cannot take like a broad swipe at this and say, oh, it's all about housing. 377 00:31:03,450 --> 00:31:07,670 Because when you get there at the individual level, the issues are what we would call staff. 378 00:31:07,910 --> 00:31:10,170 Their staff vulnerability is as you well know. 379 00:31:11,510 --> 00:31:16,890 People have, people are, are, look, lose their housing but also have a criminal justice, 380 00:31:17,190 --> 00:31:24,290 a probation meeting to get to and they have a child care and they have a doctor's appointment 381 00:31:24,290 --> 00:31:30,410 And all of those things wrapped together served to hold them in a place where they're not 382 00:31:30,410 --> 00:31:33,210 able to access and maintain viable housing. 383 00:31:36,260 --> 00:31:39,800 What we did, I want to just want to go back to that just for a second. 384 00:31:41,580 --> 00:31:48,580 What we did here over and over from folks is that it is not primarily a shelter problem. 385 00:31:48,940 --> 00:31:53,600 Over and over we heard from people that we didn't want that they were saying it's not about 386 00:31:53,600 --> 00:31:57,300 shelter since about how people flow in and out of the system. 387 00:31:58,500 --> 00:32:02,600 And then, lastly, I can't add much to what you heard from Camicia already. 388 00:32:02,940 --> 00:32:06,080 Your services are doing well, particularly outreach. 389 00:32:07,320 --> 00:32:11,380 It also helps us to look at the behavioral health needs and system capacity. 390 00:32:12,120 --> 00:32:13,680 The picture there is not pretty. 391 00:32:15,500 --> 00:32:22,060 In South Carolina, South Carolina is ranked 42 out of 51 for workforce availability for mental 392 00:32:22,060 --> 00:32:29,340 health workers, which means that, you know, at the very start, there's not staff for 393 00:32:29,340 --> 00:32:35,580 the services. There are two large, what I would call, safety-next mental health facilities 394 00:32:35,580 --> 00:32:42,240 and large substance use facilities. Those are not adequate to meet the needs of people 395 00:32:43,080 --> 00:32:49,240 who you folks are serving. And notably, I think, you know, we paid a lot of attention to medication 396 00:32:49,240 --> 00:32:55,280 for opioid use disorder like buprenorphine that people can get started and help 397 00:32:55,280 --> 00:33:01,720 them stay free of using that drug. They're daily caps for those services so you 398 00:33:01,720 --> 00:33:08,100 know if I if I wake up late one day and today is the day that I decide that I 399 00:33:08,100 --> 00:33:14,440 can do this but it's the afternoon I'm out of luck. There are some some behavioral 400 00:33:14,440 --> 00:33:16,880 our health services to build on a number of them. 401 00:33:17,740 --> 00:33:21,260 There are clinics, there are mobile crisis teams, 402 00:33:21,580 --> 00:33:24,020 there are a sort of community treatment, 403 00:33:24,140 --> 00:33:26,360 which is a mobile clinic teams to build on, 404 00:33:27,660 --> 00:33:29,640 but it's not enough right now. 405 00:33:29,900 --> 00:33:34,300 You have services to build on, but it's not enough. 406 00:33:34,780 --> 00:33:36,440 And we have some ideas about partnerships. 407 00:33:36,960 --> 00:33:39,420 You folks are doing well on partnerships. 408 00:33:41,920 --> 00:33:47,320 We think that there are ways that you can offer additional things like you do already. 409 00:33:47,780 --> 00:33:52,520 You can offer space in some cases, you can offer data, you can offer clinical training 410 00:33:52,520 --> 00:33:53,080 sites. 411 00:33:55,620 --> 00:34:00,940 Certainly, this is not an opportunity for Columbia to go on and go to clinic, but I think 412 00:34:00,940 --> 00:34:07,020 that in some of these partnerships, there are more non-financial pieces to capitalize 413 00:34:07,020 --> 00:34:11,200 and we may realize, and I encourage you to keep looking for those. 414 00:34:13,750 --> 00:34:22,050 You do, we did a survey across providers, those who responded to us were very reflected 415 00:34:22,490 --> 00:34:26,510 that they had done a lot of trauma form training, which is good. 416 00:34:26,950 --> 00:34:30,430 It shows that the system is responsive to the needs of the people. 417 00:34:30,690 --> 00:34:36,270 We've also delivered you a refresher course that can be used, so you'll have that from us. 418 00:34:37,680 --> 00:34:44,000 We did some mapping and I want to spend just a minute on this and you'll see more in 419 00:34:44,000 --> 00:34:52,540 the report when we get to it and we'll send you, you'll have a website that you can play 420 00:34:52,540 --> 00:34:59,780 with once you get this but what you're seeing here is that this is all on using publicly 421 00:34:59,780 --> 00:35:02,980 available data at the census track level. 422 00:35:03,840 --> 00:35:11,620 So we mapped housing insecurity by census tract to, in this case, drug overdose deaths. 423 00:35:12,940 --> 00:35:18,840 And what you see is this maybe section shows where there's the highest correlation. 424 00:35:19,720 --> 00:35:22,560 The tan section is the next highest correlation. 425 00:35:23,100 --> 00:35:32,500 What was striking to us over and over is that these little circles are where the treatment 426 00:35:32,500 --> 00:35:37,520 and providers are. So that's where people need to go to get help for these issues. 427 00:35:39,720 --> 00:35:45,060 Yet many issues are happening outside of that nexus that happens to be Columbia. 428 00:35:45,740 --> 00:35:52,020 And I know that you weren't asking us necessarily for a regional perspective, 429 00:35:52,420 --> 00:35:58,240 but we thought this was important for you as you talk and think with your other municipal and county colleagues 430 00:35:58,240 --> 00:36:02,160 about where and how services might be located and delivered. 431 00:36:03,300 --> 00:36:05,640 And I'm going to skip through these others very quickly. 432 00:36:06,140 --> 00:36:07,420 This is for depression. 433 00:36:07,820 --> 00:36:13,980 You can see that the need kind of tips to that left hand side. 434 00:36:15,180 --> 00:36:21,320 And then the maybe piece for binge drinking is out to the east here. 435 00:36:22,120 --> 00:36:26,080 Again, not really clustered closely with those little circles 436 00:36:26,080 --> 00:36:27,580 where the service providers are. 437 00:36:27,580 --> 00:36:28,240 Okay, 438 00:36:30,500 --> 00:36:36,480 to the meat of this, yet another key findings, which we've kind of rolled up a 439 00:36:36,480 --> 00:36:43,020 little bit so that you don't have 37 of them to go through, homelessness in Colombia 440 00:36:43,020 --> 00:36:51,500 is complicated, their buyers are interconnected, while the overarching piece is the availability 441 00:36:51,500 --> 00:36:55,080 of housing, individuals come to this within a number of different needs. 442 00:36:55,920 --> 00:37:00,000 housing availability is way below demand. 443 00:37:01,100 --> 00:37:05,180 There are limited services, limited outcomes 444 00:37:05,180 --> 00:37:08,580 for your providers who are doing great work 445 00:37:08,580 --> 00:37:11,100 but they're constrained by too few housing options, 446 00:37:11,480 --> 00:37:12,600 too few treatment options. 447 00:37:13,420 --> 00:37:16,380 The behavioral health capacity is not at a place 448 00:37:16,380 --> 00:37:21,060 where it can manage the number of people who need services. 449 00:37:21,060 --> 00:37:38,960 the care coordination alone demands exceeds available capacity, the discharge planning and transitions from institutions like jail and hospitals are there, but they're not formalized. 450 00:37:39,540 --> 00:37:46,540 There's a lot of relationships in your system, which is terrific. It shows you have good stuff to work on. 451 00:37:46,540 --> 00:37:53,040 They're not formalized in a way that ensures that Trisha is going to move from jail to a shelter. 452 00:37:54,580 --> 00:37:57,160 If commercial isn't at work that day. 453 00:37:57,920 --> 00:38:01,900 So thinking about how do we formalize those systems of care. 454 00:38:02,600 --> 00:38:08,060 And then the last thing is observation around coordination. 455 00:38:08,500 --> 00:38:10,700 Like I just said, there's a lot of relationships. 456 00:38:11,940 --> 00:38:18,960 What we see across the country is that services work, you know, individualized to each 457 00:38:18,960 --> 00:38:25,960 locality when there is good coordination across the services, when all the pieces of the 458 00:38:25,960 --> 00:38:29,760 puzzle know what their role is and know how they need to be engaged. 459 00:38:30,280 --> 00:38:35,760 Some of this has to do with how you collect data and some of it has to do with how you 460 00:38:35,760 --> 00:38:39,500 and I'll talk a little bit about that in the recommendations. 461 00:38:40,840 --> 00:38:48,620 So first recommendation we have a little bit surprising since we made a big deal out of saying that services are going well, 462 00:38:48,860 --> 00:38:53,900 and you should just told us about how the incredible work that Terence is doing. 463 00:38:54,340 --> 00:38:56,300 We think you should add a couple more Terences. 464 00:38:56,300 --> 00:39:06,620 We think that we heard from our focus groups about the visibility and the people still 465 00:39:06,620 --> 00:39:08,560 living out on the streets. 466 00:39:09,120 --> 00:39:14,400 We think it's amazing that you are taking care of your city's most vulnerable this way 467 00:39:14,400 --> 00:39:17,400 and we think that there are opportunities to expand this. 468 00:39:18,880 --> 00:39:25,180 Formally, putting in more formal coordination between outreach and shelters, expanding those 469 00:39:25,180 --> 00:39:31,100 mobile services, maybe it's ours, shared partner protocols, but really beefing up that system 470 00:39:31,100 --> 00:39:34,900 is something that you do well, and I think that you can take it to the next level. 471 00:39:35,960 --> 00:39:42,940 Trish, I'm sorry, this is Teresa, the manager, and I hate to interrupt you, but I really must 472 00:39:42,940 --> 00:39:50,020 right there because what I don't want to leave the public to think that the city of Columbia 473 00:39:50,020 --> 00:39:58,660 a proper is in charge of even though like you're saying, we can convene maybe again and take 474 00:39:58,660 --> 00:40:04,180 ownership without reach. But the outreach we're doing is something we've stepped into doing. 475 00:40:04,240 --> 00:40:09,840 There are multitude of providers who have people who should be doing outreach. So I really want 476 00:40:09,840 --> 00:40:16,760 to have a little clarity around that statement that that is not for us to necessarily own that. 477 00:40:16,760 --> 00:40:23,440 I think that's the problem. We're sitting here demonstrating that just by us stepping into this with one person 478 00:40:23,440 --> 00:40:28,960 We've made an impact, but where is everybody else? And so I get I'm you know 479 00:40:28,960 --> 00:40:36,540 I have to speak to that because our police chief and our police officers are doing it themselves 480 00:40:36,540 --> 00:40:40,140 And that's part of the problem. We need more 481 00:40:40,960 --> 00:40:45,080 support in that regard from all of the other entities who 482 00:40:45,080 --> 00:40:51,780 supposedly also have outreach. And I just have to be clear about that because 483 00:40:51,780 --> 00:40:57,060 it's coming across a little bit. The way this is worded as if it is the city's 484 00:40:57,060 --> 00:40:59,080 responsibility only. 485 00:41:02,100 --> 00:41:08,620 If it sounds that way, I'm sorry. We were looking for, we 486 00:41:08,620 --> 00:41:16,960 were writing a response to the city. That said I think that we can easily say the 487 00:41:16,960 --> 00:41:22,400 community needs to expand mobile services. I think one of the things that you're talking 488 00:41:22,400 --> 00:41:31,860 about, and like I said, we'll talk a little bit more about, is the necessity for coordination 489 00:41:31,860 --> 00:41:40,320 across the entities that are doing those services. And I'm going to shift to six for just a 490 00:41:40,320 --> 00:41:52,390 second here, strongly that there are opportunities here for you all to be convening and collecting 491 00:41:52,390 --> 00:41:59,050 data in the same way, because some of your folks are collecting data differently because 492 00:41:59,050 --> 00:42:06,290 your funders asked you to collect it differently, right? But if you can come up with a few simple 493 00:42:06,290 --> 00:42:14,490 shared definitions and then move towards a regional citywide, however you want to define 494 00:42:14,490 --> 00:42:21,670 the parameters of a dashboard that actually shows people's results, you know, to your 495 00:42:21,670 --> 00:42:27,230 point, you know, that you have folks who you think should be doing this outreach as well. 496 00:42:27,790 --> 00:42:34,970 So you want to be looking at who's doing what, have that be available to everybody in a way 497 00:42:34,970 --> 00:42:42,690 that is not punitive, but it just helps us to identify where are things moving well so 498 00:42:42,690 --> 00:42:48,410 that we can amplify it and where are things not going well so that we can pull back 499 00:42:48,410 --> 00:42:50,890 and say, okay, here's what we need to be doing here. 500 00:42:51,570 --> 00:42:58,750 Right now, there is, you know, HUD collects data for our HUD funding services and some services 501 00:42:58,750 --> 00:43:04,130 that are part of the COC, but you don't have that for your whole range of services. 502 00:43:04,130 --> 00:43:14,090 And I think as you move forward into this new, if you really are on the cost of a new time, 503 00:43:14,470 --> 00:43:20,570 with this movie, this documentary is going to really take this offer as you have this report, 504 00:43:20,810 --> 00:43:32,070 the Rich and County report. As you move towards that, I can't underscore enough how important it is for you to be collecting data 505 00:43:32,790 --> 00:43:39,510 And showing that data doesn't have to be detailed, doesn't have to be, but that is the ongoing 506 00:43:39,510 --> 00:43:39,950 way. 507 00:43:40,270 --> 00:43:50,110 And see folks, you know, you know this, that is the way for folks to be bought into what's 508 00:43:50,110 --> 00:43:51,050 moving forward here. 509 00:43:51,850 --> 00:43:58,530 Let me ask you something, except for, do we have kind of the basics of that data for our 510 00:43:58,530 --> 00:43:59,370 services? 511 00:43:59,370 --> 00:44:02,970 I mean, what you provided here looks very dashboardy. 512 00:44:03,130 --> 00:44:04,510 We absolutely have it. 513 00:44:04,510 --> 00:44:06,190 So, what you're saying is it a function 514 00:44:06,190 --> 00:44:09,730 of expanding that to include all service providers 515 00:44:10,140 --> 00:44:12,330 into a dashboard format like that? 516 00:44:13,200 --> 00:44:13,550 Yes. 517 00:44:14,650 --> 00:44:15,350 Exactly. 518 00:44:16,650 --> 00:44:18,710 So, would that be HMI-S? 519 00:44:19,270 --> 00:44:20,170 Or no? 520 00:44:20,430 --> 00:44:22,750 It would be HMI-S. 521 00:44:22,930 --> 00:44:29,030 But not everybody is using HMI-S. 522 00:44:29,530 --> 00:44:34,630 There may be some folks who are doing work that you want to pull in who are outside that system. 523 00:44:35,690 --> 00:44:39,110 And you may not want to use those same HMIS definitions. 524 00:44:39,470 --> 00:44:43,890 It may be a good starting place because those are known to so many people already, 525 00:44:44,350 --> 00:44:46,970 but those may not be the definitions you want to use. 526 00:44:47,550 --> 00:44:50,390 And this is a chance for us for you to say, 527 00:44:50,950 --> 00:44:53,350 these are the three things that are important. 528 00:44:53,550 --> 00:44:55,210 These are the three things that we're going to measure, 529 00:44:55,390 --> 00:44:58,170 three things that the public is going to be able to see from us. 530 00:44:58,170 --> 00:44:59,970 And I think that's what we define. 531 00:45:00,000 --> 00:45:29,980 When we started this, we got in this game to fill the gap of services and to fill the need that wasn't being serviced out there. And I think I think that's kind of the starting definition point to whatever we build around and then bring people in other service providers to help fill that, right? Identifying the gap. Yes. And I think that's what this dashboard does. Rapid shelter, what was Rapid Shelter Form formed to do? Right. Take care of the chronically homeless, get them to that underserved population, get them to the level 532 00:45:29,980 --> 00:45:32,940 level, where other service providers can then take over. 533 00:45:34,220 --> 00:45:40,000 And then obviously the HOPE Center, I think we're going to see that grow a lot in the 534 00:45:40,000 --> 00:45:44,120 next 18 months as we bring partners on for more services on-site. 535 00:45:44,640 --> 00:45:47,060 So, anyways, just wanted to make that point. 536 00:45:47,420 --> 00:45:52,360 I feel like that's why we're all sitting around this table was to do exactly what you just 537 00:45:52,360 --> 00:45:53,080 pointed out, Trish. 538 00:45:53,740 --> 00:45:54,300 Yeah. 539 00:45:56,640 --> 00:45:58,320 Just moving back here real quick. 540 00:46:01,900 --> 00:46:05,020 We love co-location. You guys have done some of it. 541 00:46:09,550 --> 00:46:16,390 How do you make it the norm rather than just happening in a few places, right? 542 00:46:17,450 --> 00:46:22,730 And I think that comes back to the partnerships that we're talking about with your behavior of health providers, 543 00:46:22,730 --> 00:46:27,470 with your physical health care providers. You were just talking about it with the fire department here. 544 00:46:28,030 --> 00:46:32,390 But co-location of those services, especially because the homeless service providers already 545 00:46:32,390 --> 00:46:37,370 have their arms around individuals, every time you work for people out there, slip it, 546 00:46:37,710 --> 00:46:37,850 right? 547 00:46:38,390 --> 00:46:42,990 Every time you work for people out there, the notion that you're going to lose that. 548 00:46:43,830 --> 00:46:48,990 And I mean, that's been the notion of the services that you've stood up so far, is how 549 00:46:48,990 --> 00:46:51,290 do we put as many things in one place as possible? 550 00:46:51,730 --> 00:46:54,710 I think the degree to which you can expand that is great. 551 00:46:54,710 --> 00:47:00,230 And like I said, we have some real specific examples of what you might want to think about in there. 552 00:47:03,630 --> 00:47:10,090 The transition bridges are important formal discharge and release agreements across hospitals, 553 00:47:10,730 --> 00:47:13,670 as well as jails and standardizing those. 554 00:47:13,990 --> 00:47:21,150 Is there any good case studies out there, Trish, of regions that are doing this successfully, 555 00:47:21,650 --> 00:47:25,090 states that kind of make it law for the communication? 556 00:47:25,090 --> 00:47:27,830 Is there anything you can provide for us for this item? 557 00:47:28,150 --> 00:47:37,150 We can definitely get you MOUs for discharge planning in some of the pathways that they've set up. 558 00:47:40,060 --> 00:47:47,740 I feel like that would grab people at the start of their journey. 559 00:47:48,520 --> 00:47:52,000 I think that's the biggest thing is that the cracks that you just talked about falling through. 560 00:47:52,000 --> 00:47:58,020 It happens probably I don't a great percentage when they get dropped off at the common transit center 561 00:47:58,020 --> 00:48:02,820 You know where they can't they can't go to hope the hope center that night 562 00:48:02,820 --> 00:48:07,400 They can't go to transitions because they're not officially considered homeless, right? 563 00:48:07,680 --> 00:48:13,160 So I think that's the that's getting that understanding putting it public facing forward 564 00:48:13,160 --> 00:48:18,840 I think we go a long way with getting getting the percentages grabbing those earlier 565 00:48:18,840 --> 00:48:21,160 Yep. Absolutely. 566 00:48:27,840 --> 00:48:35,920 Housing. The sun is not quick. So that I know that there's public 567 00:48:35,920 --> 00:48:43,060 private conversations happening right now. We are excited at the Lexington County RFP 568 00:48:43,060 --> 00:48:52,140 that came out about, you know, trying to figure out land use. There is, you know, land 569 00:48:52,140 --> 00:48:59,100 learning agent tips and tricks that we can share with you, but I do think that 570 00:48:59,100 --> 00:49:03,240 expanding your housing stock has got to be a big priority. 571 00:49:08,930 --> 00:49:15,090 Kinesha talked about how those aftercare services in place, housing placement as 572 00:49:15,090 --> 00:49:21,430 the start is really has to be one of the thoughts around us, right? Some of that 573 00:49:21,430 --> 00:49:26,510 can happen with your behavioral health partners. There can be conversations with 574 00:49:26,510 --> 00:49:32,130 them about what can be what what what is available and and then you know kind of 575 00:49:32,130 --> 00:49:38,470 figure out where the gap is. I will say that we have seen communities who go 576 00:49:38,470 --> 00:49:44,630 after every single stamp slot and every single HUD grant which you know once you 577 00:49:44,630 --> 00:49:48,810 get them they're still not perfect they can be pains but going after all and those 578 00:49:48,810 --> 00:49:53,110 are the kinds of services that can help you keep people in. We did not see so many 579 00:49:53,110 --> 00:50:01,690 of those here and would really recommend that you lean into that grant availability. 580 00:50:02,270 --> 00:50:05,870 I think that your region is well positioned. 581 00:50:06,570 --> 00:50:14,450 You have framework, you have a framework to do it, and you know, the federal government 582 00:50:14,450 --> 00:50:21,890 is, we see, we write a lot of our agency, write a lot of grants, we see a lot of attention 583 00:50:21,890 --> 00:50:30,490 being paid to more of this other region in terms of giving federal grants. So I think 584 00:50:30,490 --> 00:50:34,370 you guys are well-positioned to do that and that can help with this piece of it. 585 00:50:34,490 --> 00:50:39,510 Lisa who would orchestrate that? The SAMHSA grant. Sure. 586 00:50:39,990 --> 00:50:44,970 The SAMHSA grant, I think, and tell me if I'm wrong, that would be done independently. It's not like 587 00:50:44,970 --> 00:50:49,750 the HUD grants where you have to go through the COC to get them. Those can be done. So that's 588 00:50:49,750 --> 00:50:52,330 something the municipality could take the lead on. 589 00:50:52,950 --> 00:50:53,770 Yes, absolutely. 590 00:50:54,730 --> 00:50:55,170 Absolutely. 591 00:50:56,610 --> 00:51:01,290 You know, you find a good writer and sick them on it. 592 00:51:01,750 --> 00:51:03,010 Thank you, May, do you provide that service? 593 00:51:03,970 --> 00:51:05,390 We do provide that service. 594 00:51:06,290 --> 00:51:09,150 We do, and I will say, because this is one of the areas 595 00:51:09,150 --> 00:51:09,930 I'm really proud of. 596 00:51:10,030 --> 00:51:11,090 We're really good at it. 597 00:51:11,350 --> 00:51:12,690 And it's like to what levels of funding 598 00:51:12,690 --> 00:51:13,610 are we talking about? 599 00:51:13,870 --> 00:51:16,730 We should, like do you have experience with the awards 600 00:51:16,730 --> 00:51:17,270 from those? 601 00:51:17,410 --> 00:51:17,890 I do not. 602 00:51:17,890 --> 00:51:18,210 Okay. 603 00:51:20,830 --> 00:51:25,270 Tristan, you explain to Councilman Brennan what those grants look like from SAMHSA. 604 00:51:26,990 --> 00:51:30,050 There's a big range of that. 605 00:51:31,710 --> 00:51:41,610 They can be, so recently there were a range of them for substance use provisions for substance 606 00:51:41,610 --> 00:51:42,310 use services. 607 00:51:42,310 --> 00:51:50,890 So if I were Columbia, what I would do is I would say, you know, we're going to co-locate 608 00:51:50,890 --> 00:51:58,650 services in these four areas and we're going to attach somebody to our outreach team to 609 00:51:58,650 --> 00:52:05,390 do, there's an evidence-based practice called screening, brief intervention, and referral 610 00:52:05,390 --> 00:52:07,590 to treatment that they would like. 611 00:52:07,830 --> 00:52:11,370 You know, we're going to do an evidence-based practice, we're going to do it in the field, we're 612 00:52:11,370 --> 00:52:19,030 going to hook people up to care. There are services like that that are available to families. 613 00:52:19,390 --> 00:52:26,650 There are services that are available specifically for homeless and housing sites for connecting 614 00:52:26,650 --> 00:52:33,170 people to care. Now SAMHSA is specifically around behavioral health services. 615 00:52:40,630 --> 00:52:41,350 On the 616 00:52:41,350 --> 00:52:43,610 support you to do landlord outreach. 617 00:52:44,210 --> 00:52:47,390 There are grants within the context 618 00:52:47,390 --> 00:52:49,710 of the Bureau of Justice Administration 619 00:52:50,150 --> 00:52:56,750 who could help train support, give additional personnel 620 00:52:57,010 --> 00:53:01,050 to law enforcement for dealing with things 621 00:53:01,050 --> 00:53:02,010 like street homelessness. 622 00:53:02,830 --> 00:53:05,290 So there's a range and I can, 623 00:53:05,630 --> 00:53:08,270 I'm gonna ask the potlite to make a note for me. 624 00:53:08,770 --> 00:53:15,170 I can give you kind of a sample of some of the types of grants that have gone out and 625 00:53:15,170 --> 00:53:20,250 these are not small, these are hundreds of thousands of dollars for communities. 626 00:53:20,650 --> 00:53:23,430 And if I'm not mistaken, Sam said does that grant. 627 00:53:24,190 --> 00:53:26,330 I want to state a bad word for the job tank. 628 00:53:28,310 --> 00:53:28,790 Yeah, 629 00:53:35,720 --> 00:53:37,700 thank you for providing that tradition of dance. 630 00:53:39,780 --> 00:53:45,440 Yeah. And then we just talked about the data structure, the coordination and data. 631 00:53:46,960 --> 00:53:47,200 The 632 00:53:49,600 --> 00:53:56,120 things I do want to say at that end of this here is that I feel really strongly that 633 00:53:56,120 --> 00:54:02,600 this was an assessment. You contacted with us for an assessment. I do think that there is work here, 634 00:54:04,380 --> 00:54:12,160 which will bring the community and even closer to prioritize this work, to do some strategic 635 00:54:12,160 --> 00:54:13,060 prioritization. 636 00:54:14,800 --> 00:54:21,180 And I've spoken to Kamisha a little bit about this, that the aftermath of the film might 637 00:54:21,180 --> 00:54:22,740 be the right space for that, 638 00:54:24,920 --> 00:54:26,840 you know, you can't boil the ocean, right? 639 00:54:27,220 --> 00:54:32,280 So kind of, you'll think about what makes sense logistically, but you also want to capitalize 640 00:54:32,280 --> 00:54:37,580 on that energy of your community. So thank you. Thank you, Trish. 641 00:54:38,500 --> 00:54:42,700 Councilman Harvard, if you have any questions? No, I did not. Thank you. 642 00:54:43,400 --> 00:54:48,160 Ms. Wilson, any questions, additions? No, thank you. Great job, then. 643 00:54:49,680 --> 00:54:54,180 Commissioner, thank you for putting together this wonderful team to report back on 644 00:54:54,720 --> 00:54:58,860 where we can go from here. So I think there's some great low-hanging fruit 645 00:54:58,860 --> 00:55:05,700 items that we could tackle in these six recommendations and look forward to working to do those. 646 00:55:06,300 --> 00:55:11,220 So, can we say anything else before we say thank you to the HMA team? I think you all 647 00:55:11,220 --> 00:55:15,120 are going to stay on for a minute because we have an executive session item. Is that correct? 648 00:55:15,760 --> 00:55:15,900 Yes. 649 00:55:16,440 --> 00:55:22,000 Perfect. All right. If there's no further questions or comments, Councilman Herbert, Mayor Protin, 650 00:55:22,260 --> 00:55:22,880 Herbert? 651 00:55:24,120 --> 00:55:28,780 Yes, I'd like to make a motion that we go into executive session for the receipt of legal 652 00:55:28,780 --> 00:55:36,980 advice relating to matters covered by attorney, client, privilege, pursuant to SCCO 3470 homeless 653 00:55:36,980 --> 00:55:46,960 services. There's a motion. I will second that. Ms. Hammond. Hi. Hi. Great. We are going into executive 654 00:55:46,960 --> 00:55:47,400 of session. 655 00:55:47,560 --> 00:55:48,000 Thank you, everybody.